Lateral sinus thrombosis and cervical abscess complicating cholesteatoma in children: case report and review.
To call attention to complications of chronic otitis media, the case of a patient who simultaneously developed lateral sinus thrombosis and Bezold's abscess is reported. A 7 year old boy presented with fever, drowsiness, cervical mass and otorrhea not responding to medical management. Work-up revealed lateral sinus thrombosis and cervical abscess secondary to right ear cholesteatoma. After treatment with surgery and antibiotics, he had a favorable outcome. We review the literature regarding the diagnosis and management of these complications and concluded that although less frequent they remain a clinical challenge.
Lubianca Neto
J F
JF
Department of Otorhinolaryngology, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, RS, Brasil. Jlubianca@rascal.med.harvard.edu
Saffer
M
M
Rotta
F T
FT
Arrarte
J L
JL
Brinckmann
C A
CA
Ferreira
P
P
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002558:Cerebrospinal Fluid Otorrhea / Q000209:etiology; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D010034:Otitis Media with Effusion / Q000150:complications* / Q000188:drug therapy; D010614:Pharynx / Q000000981:diagnostic imaging / Q000601:surgery; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents